The effect of financial incentives on physicians′ behaviour in health maintenance organizations

Examines the relationship between the presence of financial incentives and their effect on physician behaviour in health maintenance organizations (HMOs). By reviewing the scope and dimensions of both HMOs and financial incentives, a foundation is laid for the review of the current empirical evidenc...

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Veröffentlicht in:Journal of management in medicine 1995, Vol.9 (1), p.8-26
Hauptverfasser: McCleary, Karl, Asubonteng, Patrick, Munchus, George
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creator McCleary, Karl
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description Examines the relationship between the presence of financial incentives and their effect on physician behaviour in health maintenance organizations (HMOs). By reviewing the scope and dimensions of both HMOs and financial incentives, a foundation is laid for the review of the current empirical evidence. Further analysis and conceptual development is given to this topic by stating the limitations of existing research - in the confounding variables, in the complexity of incentives, and in the unanswered questions of quality of care - and by proposing innovative ways of studying the "other aspects of physician behaviour" not previously considered. Questions and implications are raised for future research and practice.
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source MEDLINE; Emerald Complete Journals
subjects Capitation Fee
Efficiency, Organizational - economics
Fees, Medical
Health administration
Health Maintenance Organizations - economics
Health Maintenance Organizations - organization & administration
Health Services Research
Models, Organizational
Physician Incentive Plans - classification
Physician Incentive Plans - economics
Physicians, Family
Quality of Health Care
Referral and Consultation - economics
Salaries and Fringe Benefits
United States
title The effect of financial incentives on physicians′ behaviour in health maintenance organizations
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